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Eric C. Brevik and Lynn C. Burgess

The 2012 Fungal Meningitis Outbreak in the United States: Connections Between Soils and Human Health. Eric C. Brevik and Lynn C. Burgess. Exserohilium rostratum.

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Eric C. Brevik and Lynn C. Burgess

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  1. The 2012 Fungal Meningitis Outbreakin the United States: Connections BetweenSoils and Human Health Eric C. Brevik and Lynn C. Burgess

  2. Exserohiliumrostratum • The fungus Exserohiliumrostratumhas been identified as the pathogen that caused 594 cases of fungal meningitis, stroke due to fungal meningitis, or other central nervous system diseases, along with 26 cases of peripheral joint infections and 39 deaths as of 17 Dec. 2012. • The infections were traced to contaminated steroid injections, produced by New England Compounding Center

  3. Exserohiliumrostratumhas a number of obsolete names including: • Bipolarishalodes • Bipolarisrostratum • Drechslerahalodes • Drechsleralongirostrata • Drechslerarostrata • Helminthosporiumrostratum

  4. Phaeohyphomycosis • Phaeohyphomycosis includes subcutaneous lesions and localized soft -tissue infections • E. rostratumis an opportunistic species, meaning infection is usually associated with some type of compromise to the skin barrier or immunity system. • The three Exserohilumspecies that have been reported to infect humans are E. rostratum, E. longirostratum, and E. mcginnisii

  5. The Role of Soil Scientists • That role is to investigate and characterize both the life cycle and the soil ecology of organisms such as E. rostratum. • Effective disease control requires that the life cycle of the pathogen is understood, there seems to be little, if any, information on the life cycle of E. rostratum.

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